For the midwives on this board..

[Luv2bemommy]

Just curious.. If you had a mother's who's water broken and when you arrived she had port wine stain, what would you do?? Say she was only 4cm when you arrived.

[MsBlack]

Are you saying that this mom's amniotic fluid is the color of port wine? OR....

[Luv2bemommy]

Originally Posted by MsBlack

Are you saying that this mom's amniotic fluid is the color of port wine? OR....

Yes, exactly..

[saintmom]

that would sound like blood in the amniotic fluid,not a good sign......

[MsBlack]

Not a good sign, but not necessarily a terrible sign--there may have been a slight placental abruption but nothing life-and-death. I'd be listening carefully to that baby, and otherwise remaining alert.

[JunipersMom]

How long was the water broken? Any bleeding or spotting before it broke? Is it consistant wine color or just when it first broke? Is she progressing ~ contractions?
I'd listen to babe, get moms temp - pulse - BP and monitor for a bit. Then decide.

[Luv2bemommy]

Well it was my experience actually.. My water broke at 9am, and it had blood in it.. Contractions picked up about an hour after my water broke, and my midwife got here around 2pm.. As soon as she seen it, she checked me and then told me we had to go to the hospital NOW.. She didn't even let me labor at home.. Turns out it was a blood vessel on my cervix that was causing the bleeding but we didn't know this until after he was born, 11:45 that night.. I didn't have a good experience with the OB and I'm mourning the loss of my perfect home birth I had imagined.. Just wondering what you all would have done. I didn't even feel like I was in danger until she said something about it.

No bleeding, nothing before my water broke.

[mwherbs]

I have more questions than answers for you
first time mom or what #?
first home birth or other homebirths?
any other things I should know about like previous surgery, PCOS, fibroids, leep procedures, maternal trauma?
mother's pulse, bp, temp- how long has water been broke?- effacement as well as dilation , station and position? what kind of labor is she in? what kind of pain is she having-- is her uterus hard even when there is no contraction?
baby movement? is the baby reacting to stimulus?

how dark was the blood/water?
what does the mother and father want to do?

I may very well take this gal in ,just depends-- there is a very experienced midwife Sister who has run a low income clinic for years and years and she says that a baby can be fine with 1/4 of a placenta still attached-

[Luv2bemommy]

I have more questions than answers for you
first time mom or what #? 4th baby, no previous problems
first home birth or other homebirths? first homebirth
any other things I should know about like previous surgery, PCOS, fibroids, leep procedures, maternal trauma? none of that
mother's pulse, bp, temp- how long has water been broke?- effacement as well as dilation , station and position? what kind of labor is she in? what kind of pain is she having-- is her uterus hard even when there is no contraction?
baby movement? is the baby reacting to stimulus? Baby's movement was fine, BP was fine, water broke at 9am, she arrived at 2pm, 4cm about 80% effaced, labor not that bad but contactions were coming every 4-5 mins when she arrived.

how dark was the blood/water? Color was port wine stain
what does the mother and father want to do? I wanted to stay here, I didnt even know I was in danger until she arrived.. My husband wanted to do whatever I wanted. I cried because I did not want to go to the hospital.

[mwherbs]

ok, now what was the out come? did you have a C-section or? how long was labor total what how big of a clot/ or what was the dx(diagnosis)?

[Luv2bemommy]

Well, no csection. They didn't even seem worried about me.. They didn't do an ultrasound or nothing. He was born 11:45pm that night and everything was fine.. No placental abruption, nothing. The nurse said I probably had a blood vessel that kept bleeding out, that tends to happen sometimes.

So, what would you have done?

[mwherbs]

live and learn- good to know that you and your baby were fine-
for a multip 4 cm is not really considered to be active labor- maybe what I would have done is hung out a while and saw what all was going on and if bleeding changed or if blood came out when I did and exam-- the thing with ROM is I don't like to do an exam- good contractions would have told me you were in labor and I would have wanted to see what all was going on- it is all a judgement call- would have hated to have guessed wrong- I wasn't there - so at the hospital they did monitoring all the time correct? if nothing else this is what we would transfer for- your risk status went from low to higher- and home birth is in essence a low risk undertaking- intermittent monitoring has been proven to be useful for low risk- and actually for high risk the studies did show improvement in outcomes-- treating all births as if they are high risk does not improve outcome- and even high risk births moms and babies are more often than not still healthy...
so if they had detected an abnormal pattern they may have not investigated either just made a call on doing a section-- some providers do ultrasounds but not all-
so there are conditions where I might have stayed but am port wine is a pretty dark color- and I have seen a vessel in the placenta that bleed from baby- luckily it happened after baby was born- but it would be on my mind- if the blood was mom or baby--